Difficulty: Medium
Average Score: 75%
Simulated
Passage / Scenario
Newborn 1 hour after birth, axillary temperature 95.8┬░F, apical pulse 114 bpm, respiratory rate 60 breaths/minuteWhen assessing a newborn 1 hour after birth, the nurse measures an axillary temperature of 95.8┬░ F (35.4┬░ C), an apical pulse of 114 beats per minute, and a respiratory rate of 60 breaths per minute. The nurse would identify which area as the priority?
Correct answer
A
Rationale
The low temperature (95.8┬░F) indicates hypothermia, a priority due to risks of hypoglycemia, acidosis, and impaired oxygen delivery.